Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Jul 25;23(1):706.
doi: 10.1186/s12891-022-05676-0.

Predicting the success of multimodal rehabilitation in chronic ankle instability based on patient-reported outcomes

Ran Zhang  1   2 , Qiushi Qi  2 , Weiqun Song  3 , Yaping Chen  4
Affiliations

Predicting the success of multimodal rehabilitation in chronic ankle instability based on patient-reported outcomes

Ran Zhang et al. BMC Musculoskelet Disord. .

Abstract

Background: The aim of this study was to identify potential indicators to predict the success of multimodal rehabilitation in chronic ankle instability (CAI) patients based on patient-reported outcomes.

Methods: Sixty patients with self-reported CAI participated. Their demographic information, injury history, and symptoms were recorded. Physical examinations and dynamic posture control tests were performed. The participants underwent sixteen 30-min treatment sessions of multimodal rehabilitation over 8 weeks. Fifty-one patients (85.0%) were available for follow-up after 8 weeks of the intervention. Treatment success was defined based on the participants' perceived recovery using the global rating of change (GRC). Potential predictor variables were entered into a stepwise logistic regression model to identify variables for the prediction of treatment success.

Results: Forty of 51 participants (78.4%) were considered to have a successful outcome. Of the variables assessed, time since last sprain ≤ 8 months was a predictor of treatment success (p < 0.05). If a patient met the criteria, there was an 88.03% probability of successful multimodal rehabilitation.

Conclusion: A time since the last sprain ≤ 8 months may predict successful patient-reported outcomes after multimodal rehabilitation in CAI patients.

Level of evidence: Prospective study, Level 2.

Keywords: Chronic ankle instability; Clinical prediction rules; Therapeutic intervention.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no competing interests.

Similar articles

See all similar articles

Cited by

References

    1. Martin RRL, Davenport TE, Fraser JJ, Sawdon-Bea J, Carcia CR, Carroll LA, et al. Ankle stability and movement coordination impairments: Lateral ankle ligament sprains revision 2021. J Orthop Sports Phys Ther. 2021;51:CPG1–80. doi: 10.2519/jospt.2021.0302. - DOI - PubMed
    1. Wikstrom EA, McKeon PO. Predicting manual therapy treatment success in patients with chronic ankle instability: Improving self-reported function. J Athl Train. 2017;52:325–331. doi: 10.4085/1062-6050-52.2.07. - DOI - PMC - PubMed
    1. Kosik KB, Terada M, McCann R, Thomas A, Johnson N, Gribble P. Decreased perceived ankle and knee joint health in individuals with perceived chronic ankle instability. Knee Surgery, Sport Traumatol Arthrosc. 2020;28:177–183. doi: 10.1007/s00167-018-5163-4. - DOI - PubMed
    1. Hintermann B, Boss A, Schäfer D. Arthroscopic findings in patients with chronic ankle instability. Am J Sports Med. 2002;30:402–409. doi: 10.1177/03635465020300031601. - DOI - PubMed
    1. Hale SA, Hertel J, Olmsted-Kramer LC. The effect of a 4-week comprehensive rehabilitation program on postural control and lower extremity function in individuals with chronic ankle instability. J Orthop Sports Phys Ther. 2007;37:303–311. doi: 10.2519/jospt.2007.2322. - DOI - PubMed